A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?

Low-protein.

High-fiber.

Hydrolyzed.

Low-calorie.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Hydrolyzed.

Choice A rationale:

A low-protein formula is not typically recommended for clients with inflammatory bowel disease (IBD). Protein is essential for healing and maintaining muscle mass, especially in patients with chronic conditions like IBD. Therefore, reducing protein intake could be detrimental to their overall health.

Choice B rationale:

High-fiber formulas are generally not suitable for IBD patients, particularly during flare-ups. High fiber can exacerbate symptoms like diarrhea and abdominal pain by increasing bowel movements and irritation in the intestines.

Choice C rationale:

Hydrolyzed formulas are appropriate for clients with IBD because they contain proteins that are broken down into smaller peptides or amino acids, making them easier to digest and absorb. This can help reduce the workload on the intestines and minimize symptoms like malabsorption and inflammation.

Choice D rationale:

A low-calorie formula is not ideal for IBD patients, who often need adequate caloric intake to maintain their weight and nutritional status. Malnutrition is a common concern in IBD, so ensuring sufficient calorie intake is crucial for these patients.

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Correct Answer is B

Explanation

Choice A rationale:
A temperature of 37.2°C (99°F) is within the normal range (approximately 36.5°C to 37.5°C or 97.7°F to 99.5°F) and does not specifically indicate fluid volume deficit. It's important to consider this value along with other findings.
Choice B rationale:
(Correct Choice) A pulse rate of 118/min is indicative of tachycardia, which can be a sign of fluid volume deficit. When the body is experiencing a decrease in fluid volume, the heart rate often increases as a compensatory mechanism to maintain adequate circulation. Tachycardia helps to pump a reduced blood volume more rapidly to vital organs.
Choice C rationale:
A blood pressure of 152/90 mm Hg is elevated but does not solely indicate a fluid volume deficit. While low blood pressure can be a sign of dehydration, high blood pressure does not necessarily correlate directly with fluid volume status.
Choice D rationale:
Central venous pressure (CVP) of 25 mm Hg is elevated. CVP reflects the pressure in the vena cava and right atrium, indicating the amount of blood returning to the heart. An elevated CVP might be seen in fluid volume excess or right-sided heart failure, not fluid volume deficit.

A. "Avoiding glutamine will help me recover from this disease." B. "I should limit the amount of fiber in my diet." C. "I will need to take mild laxatives to help me have a bowel movement." D. "I am likely to gain weight due to this disease."

Correct Answer is B

Explanation

Choice A rationale:
Avoiding glutamine is not a typical recommendation for managing Crohn's disease. Glutamine is an amino acid that plays a role in gut health, and its avoidance wouldn't necessarily aid in disease recovery.
Choice B rationale:
Limiting the amount of fiber in the diet is important for clients with Crohn's disease. High-fiber foods can exacerbate symptoms by causing bowel irritation and increasing motility. A low-fiber diet can help reduce inflammation and discomfort in the digestive tract.

Choice Crationale:
Taking mild laxatives is generally not recommended for individuals with Crohn's disease. Laxatives can irritate the digestive tract and potentially worsen symptoms. Bowel movements should be managed with dietary and lifestyle modifications under the guidance of a healthcare provider.
Choice Drationale:
It's not common for individuals with Crohn's disease to gain weight due to the disease itself. In fact, weight loss is a more typical symptom due to reduced nutrient absorption and increased metabolism.

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A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?

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A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?